Provider Demographics
NPI:1669633418
Name:KNOLL, FAYE (MD)
Entity Type:Individual
Prefix:DR
First Name:FAYE
Middle Name:
Last Name:KNOLL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:260 E MIDDLE COUNTRY RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-2982
Mailing Address - Country:US
Mailing Address - Phone:631-265-8780
Mailing Address - Fax:631-265-8521
Practice Address - Street 1:260 E MIDDLE COUNTRY RD
Practice Address - Street 2:SUITE 201
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-2982
Practice Address - Country:US
Practice Address - Phone:631-265-8780
Practice Address - Fax:631-265-8521
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2013-09-25
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Provider Licenses
StateLicense IDTaxonomies
NY249205207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400051946Medicare PIN